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General NPI Number Information
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NPI Number | 1427283233
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Entity Type | Organization
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Legal Business Name | SARASOTA DIGESTIVE HEALTH SPECIALISTS LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 1801 ARLINGTON ST SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34239-3502
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Country | US
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Telephone | 941-706-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 ARLINGTON ST SUITE 101
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City | SARASOTA
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State | FL
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Zip | 34239-3502
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Country | US
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Telephone | 941-706-2904
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Fax |
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Authorized Official
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Title or Position | MGRM
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Name | DR. ISAAC KALVARIA
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Credential | M.D
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Telephone | 941-706-2904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME50532
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License Number State | FL
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